New HIV diagnoses in Roanoke city run about 34% higher than the US average. If you're in Roanoke city, Virginia, getting tested before starting a new relationship or as part of ongoing care helps keep you and your partner safe, but deciding between public clinics, private labs, and at-home kits will depend on what matters most to you. Your options are listed below.
Available testing centers
11 testing options are listed for Roanoke, VA. The nearest, Virginia Department of Health, is about 1.4 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Virginia Department of Health in Roanoke tests for gonorrhea, chlamydia, syphilis, hepatitis B and C, TB, and HIV, and treats bacterial STIs the same visit. Sliding-scale fees apply, and appointments are required. Every service is provided at no charge.
Sliding-scale STI clinics still send some patients home with a bill. At Virginia Department of Health in Roanoke, the fee schedule bottoms out at zero for everyone: testing, treatment, vaccines, PrEP, and counseling included. Nothing here generates a balance.
Many clinics document language needs and move on, leaving patients to navigate clinical detail through gaps. Virginia Department of Health in Roanoke arranges interpretation services for non-English languages directly within the appointment, so clinical conversations happen fully, not around the edges.
Virginia Department of Health in Roanoke prescribes and monitors all three biomedical prevention tools: PrEP (daily oral medication that blocks HIV acquisition), PEP (the post-exposure course), and DoxyPEP (doxycycline taken after condomless sex to reduce bacterial STI risk). Medication adherence counseling is built into ongoing care.
Languages
English, Interpretation Services Available for Non-English Languages
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Carilion Clinic in Roanoke operates within a major integrated health system, which means STI testing (gonorrhea, chlamydia, syphilis, herpes, hepatitis B and C, TB, and HIV) connects directly to treatment and specialist resources. Sliding-scale fees apply, and appointments are required. Ryan White funding anchors HIV care from first test through long-term management.
Many testing-only clinics confirm exposure risk and send patients to a separate prescriber for PrEP or PEP. Carilion Clinic writes and manages those prescriptions directly, so prevention isn't interrupted by a handoff to a provider who doesn't have the full clinical picture.
Once a hepatitis C antibody test confirms infection, Carilion Clinic's providers move to confirmatory RNA testing and, where indicated, initiate direct-acting antiviral therapy: prescribing, dosing, and monitoring viral response within the same clinical team rather than routing the patient through a separate specialist.
Without Ryan White backing, a positive HIV result at a testing site often means weeks navigating insurance gaps and specialist wait-lists before antiretroviral therapy begins. At Carilion Clinic in Roanoke, that gap doesn't open. Ryan White funding supports continuous care from initial diagnosis through medication adherence counseling and ongoing HIV medical management.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN + HRSA
New Horizons Healthcare, in Roanoke earned its federal qualification by meeting rigorous standards for serving patients regardless of ability to pay. Adults and families navigating gaps in coverage or paying out of pocket can access sliding-scale STI screening (syphilis, gonorrhea, and chlamydia) without an appointment.
Tests offered
Fees & payment
Planned Parenthood South Atlantic in Roanoke tests for HIV, gonorrhea, chlamydia, syphilis, hepatitis B, and herpes, treating bacterial infections the same visit; sliding-scale fees apply to everyone, Medicaid and insurance accepted, and no appointment is needed. Spanish and interpretation services are on hand.
When navigating symptoms, timing, or a treatment plan, precision in language is clinical, not incidental. Planned Parenthood South Atlantic in Roanoke carries Spanish-speaking staff capacity and interpretation services so that someone who reasons and worries in a language other than English gets the same specificity of care (exposure history, medication instructions, follow-up) that anyone else does.
Plenty of sexual health providers require parental involvement or redirect younger patients elsewhere. As a Title X clinic, Planned Parenthood South Atlantic in Roanoke is legally required to offer confidential family planning services to minors: meaning testing, contraception, and STI treatment without a guardian in the loop.
PrEP requires baseline HIV and kidney-function testing, an initial prescription, and regular follow-up labs. All of which Planned Parenthood South Atlantic in Roanoke handles directly. PEP is similarly initiated and managed in-clinic, so both medications stay tied to a provider who tracks the labs and adjusts care rather than handing the prescription off without a monitoring plan.
Languages
English, Interpretation Services Available for Non-English Languages, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Monroe Health Center in New Castle covers gonorrhea, chlamydia, syphilis, hepatitis B, hepatitis C, TB, and HIV, treating bacterial infections the same visit and billing on a sliding scale accepted by Medicaid, Medicare, and most insurance. An appointment is required.
Monroe Health Center tests for hepatitis B and hepatitis C in addition to gonorrhea, chlamydia, syphilis, and HIV: meaning liver-affecting infections are identified at the same visit, so follow-up care and vaccination decisions can start without a separate appointment elsewhere.
Spanish is a complete clinical language at Monroe Health Center, not a supplemental accommodation, so counseling, exposure history, and treatment decisions are conducted directly in Spanish, without a layered communication step between clinician and patient.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Dec 2025 · Source: CDC NPIN
Johnson Health Center in Bedford runs STI care by appointment, pairing gonorrhea, chlamydia, and rapid or conventional HIV testing with same-visit treatment for bacterial infections, hepatitis A, B, and HPV vaccines, and sliding-scale fees accepted alongside Medicaid, Medicare, and insurance.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2025 · Source: CDC NPIN
Tri-Area Community Health Centers in Ferrum tests for HIV, syphilis, gonorrhea, chlamydia, and hepatitis C, with fees set on a sliding scale and accepted through Medicaid, Medicare, or private insurance. Bacterial STIs are treated the same visit; an appointment is required.
Languages
English
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 1 mile away; if you'd rather skip the trip, an at-home kit ships to Roanoke, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best value: single tests
$49 & up
Best range: couples & full panels
$79 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Roanoke city, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
2001 Crystal Springs Avenue, Suite 302, Roanoke, VA 24016
CMS-certified lab Accredited · College of American Pathologists
2001 Crystal Spring Avenue, Suite 303, Roanoke, VA 24011
CMS-certified lab Accredited · College of American Pathologists
101 Elm Avenue, Roanoke, VA 24029
CMS-certified lab Accredited · College of American Pathologists
1906 Belleview Avenue, Roanoke, VA 24014
CMS-certified lab Accredited · College of American Pathologists
1423 West Ruritan Road, Roanoke, VA 24012
CMS-certified lab Accredited · Joint Commission
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Roanoke. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 340 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Roanoke. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 66 offer telehealth.
Elizabeth Martin
OB-GYN · 3 Riverside Circle, Roanoke
Zachary Holcomb, MD Telehealth
Internal medicine · 1 Riverside Circle, Roanoke
David Alligood, MD
Family medicine · 3960 Valley Gateway Boulevard, Roanoke
Desiree Inman, DO
Family medicine · 213 South Jefferson Street, Roanoke
Jaclyn Nunziato, MD
OB-GYN · 902 South Jefferson Street, Roanoke
Jasmine Jackson, DO Telehealth
Infectious disease · 101 Elm Avenue, Roanoke
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Roanoke, VA publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Shawsville Pharmacy
1.0 mi
1.5 mi 
1.6 mi 
1.7 mi Oncology and Hematology Associates of Southwest Virginia
1.8 miShowing the 5 closest pharmacies to Roanoke, VA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Roanoke, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Roanoke city, the city that includes Roanoke, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#10 of 133 Virginia counties for chlamydia, a higher rate than 92% of the state
| Infection | Roanoke city | Virginia | United States |
|---|---|---|---|
| Chlamydia | 956 929 cases ▲ 102% | 472.8 | 492.2 |
| Gonorrhea | 338.6 329 cases ▲ 114% | 158.3 | 179.5 |
| Syphilis (P&S) | 17.5 17 cases ▲ 64% | 10.7 | 15.8 |
| Syphilis (early) | 14.4 14 cases ▲ 52% | 9.5 | 16 |
| Syphilis (late/unknown) | 27.8 27 cases ▲ 76% | 15.8 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Roanoke city, chlamydia has risen from 892.9 to 956 per 100,000 (7%), gonorrhea has fallen from 514.9 to 338.6 per 100,000 (34%), and P&S syphilis has risen from 3 to 17.5 per 100,000 (483%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Roanoke city.
Local HIV snapshot
Roanoke city HIV care continuum (2023)
Roanoke city recorded 18.4 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Roanoke city residents living with HIV, 78.3% are in care · 71.5% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Roanoke city tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Rugby and West End draw a lot of Roanoke's younger adults, people who are renting their first solo place or splitting a unit with a roommate while they figure out what the city offers them. That tenure picture matters for health access: with nearly half of residents renting at a monthly figure well below regional averages, discretionary spending is tight, and a fee that might be routine for someone elsewhere can genuinely change whether a screening appointment happens at all.
Roanoke's household picture adds texture. Average households here run a little over three people, and with only about one in seven households clearing six figures, most residents are working with modest budgets even when they're employed. The unemployment rate is meaningful too, since a gap in coverage or income is often exactly when STI testing gets deferred. Young adults in their late teens and twenties, who make up a real share of the city's population, tend to be mid-transition: jobs, relationships, and insurance all shifting at once. Clinics listed on this page span options within and around Roanoke, so checking which ones accept walk-ins or offer sliding-scale fees is worth doing before you drive.
That drive is the practical variable. Orange Avenue Northwest and Campbell Avenue Southwest are the main corridors for reaching most of the listed options, and clinic proximity varies considerably. Knowing the actual distance before you go, not just the address, is what shapes whether a Tuesday errand turns into a completed appointment.
Getting there
At 9.62/20 on the EPA walkability index, day-to-day errands in Roanoke generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
Roanoke sits in Roanoke city. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Roanoke? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Roanoke city: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Roanoke-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Roanoke often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Virginia law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in VirginiaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
There are 11 options within a 30-mile drive.
Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Roanoke city reported ~956 chlamydia cases per 100,000 in 2023, above the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Telling recent partners lets them test and treat; many health departments offer confidential partner-notification help.
Little prep is needed, bring an ID and insurance if you have it, and note your exposure dates and any symptoms; for a urine test, avoid peeing for about an hour beforehand.
Clinics give immediate care and treatment; home kits win on convenience and discretion. Either works.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.